| NPI | 1548229347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 174400000X Specialist (Licence: TX EDUCATIONAL DIAGNOST) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 17093) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2007-07-08 |