| NPI | 1346465242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 3178) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 16318) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2009-02-12 |