| NPI | 1760688246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 23278) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 24942) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2018-08-13 |