| NPI | 1689088213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108318) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 20001) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |