| NPI | 1396089520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111607) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 18406) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2022-11-29 |