| NPI | 1982871091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111957) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: DC AUD000109) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2018-03-13 |