| NPI | 1700114808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 105417) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 12801931) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2020-10-06 |