| NPI | 1174170591 |
|---|---|
| Former Name | CHRISTY D VIJJESWARAPU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 7582) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 116020) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2021-07-19 |