| NPI | 1760583421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 106338) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 3226) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2011-04-15 |