| NPI | 1902206014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 115002) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE 04-0000428) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2018-10-15 |