| NPI | 1497996227 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: TX TX#101473)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: TX 101473)  | 
| Enumeration Date | 2009-03-06 | 
| Last Update Date | 2009-08-07 |