| NPI | 1568636439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 111555-4102) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: UT 111555-4201) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |