| NPI | 1801912977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13501) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 24778) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2016-08-29 |