| NPI | 1902091432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 16731) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 24869) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2017-03-03 |