| NPI | 1154533867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP4350) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 19646) |
| 235Z00000X Speech-Language Pathologist, (Licence: NM 4350) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2022-04-01 |