| NPI | 1487923041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 107548) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2011035382) |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2014-07-01 |