| NPI | 1801228424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 4255) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 107959) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2014-09-17 |