| NPI | 1568601169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 4485) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 24767) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |