| NPI | 1861874588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111886) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007222) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2016-05-09 |