| NPI | 1043678527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#P8996) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 112220) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2017-02-08 |