| NPI | 1497962419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2048) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 105857) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2011-06-14 |