| NPI | 1346514940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 3966) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 106748) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-09-06 |