| NPI | 1477792737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 22827) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 108212) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2016-05-05 |