| NPI | 1710322607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108731) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA sp16274) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2014-09-10 |