| NPI | 1316079130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 20049) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 50110) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 10174) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |