| NPI | 1316217078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 110841) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 013572) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2016-10-21 |