| NPI | 1093117244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 10233164-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 19564) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2021-07-07 |