| NPI | 1881961274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL Sam 11195) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 105547) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |