| NPI | 1457584047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 8771) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 105027) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2011-11-22 |