| NPI | 1407900020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 107311) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#2339) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2014-02-19 |