| NPI | 1639425366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111056) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242002348) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2015-05-18 |