| NPI | 1467687194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 11828) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: TX 13115) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2012-06-29 |