| NPI | 1376937847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 108814) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: PA SL012008) |
| 235Z00000X Speech-Language Pathologist (Licence: FL SA12951) | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |