| NPI | 1144570821 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 15323) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146009441) | 
| 235Z00000X Speech-Language Pathologist, (Licence: TX 103257) | |
| Enumeration Date | 2012-09-11 | 
| Last Update Date | 2023-04-25 |