| NPI | 1518261460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 3926) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 104929) |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2012-06-25 |