| NPI | 1164723342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 115946) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8816) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP6971) | |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2022-02-03 |