| NPI | 1447524376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108365) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14984) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2017-08-11 |