| NPI | 1952501082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0001298) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 102907) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2018-02-22 |