| NPI | 1831642263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 24961) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 111815) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2017-02-25 |