| NPI | 1447380993 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: TX 104497)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: CA 10655)  | 
| 235Z00000X Speech-Language Pathologist,   (Licence: UT 942743314102)  | |
| Enumeration Date | 2007-03-06 | 
| Last Update Date | 2021-05-27 |