| NPI | 1518163633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA 4491) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 103129) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA7799) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-08 |