| NPI | 1457656605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 106602) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 3593) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2014-07-07 |