| NPI | 1982087664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 104948) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 5491) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |