| NPI | 1760717409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 100837) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 1602) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |