| NPI | 1912029109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 106342) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 01459) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2014-07-29 |