| NPI | 1982022711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21324) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 106657) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2014-07-14 |