| NPI | 1821136094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 51535) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 111632) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-06-16 |