| NPI | 1255667739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 103008) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 103008) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2018-03-17 |