| NPI | 1720191844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 100348) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AR 1600) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2012-09-28 |