| NPI | 1427254804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 2321) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 102247) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2013-08-20 |