| NPI | 1336331487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA ll60451617) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 50325) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2014-10-24 |