| NPI | 1316308653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: LA 7547) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 107774) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |