| NPI | 1689682338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 261QR0400X) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 261QR0401X) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2012-08-08 |