| NPI | 1457485450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9260) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 102668) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2010-11-05 |