| NPI | 1629580386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 14144871) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 112358) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |