| NPI | 1831512599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2011021973) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 109735) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2016-09-08 |