| NPI | 1912205634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 007086) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 106514) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2013-05-07 |