| NPI | 1922133735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 100569) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004248A) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2010-10-26 |