| NPI | 1649605510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 110527) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 1405291) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2016-11-16 |