| NPI | 1326367707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 013505) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 103431) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2012-01-17 |