| NPI | 1154705739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 1743) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 111385) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |