| NPI | 1952355752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 109682) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 733) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-04-30 |