| NPI | 1407240468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 102089) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: 01104574) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |