| NPI | 1073895025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 9073417-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP7421) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2014-09-26 |