| NPI | 1417384702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 112214) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C-5428) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2016-06-23 |