| NPI | 1689955577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 115113) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 3817) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2018-09-17 |