| NPI | 1316211121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 113294) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: TX 35912) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2017-03-17 |