| NPI | 1568669463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 104192) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 31294) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2013-05-21 |