| NPI | 1821253063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 14376) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TX 80416) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2010-12-06 |