| NPI | 1205065257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP11120) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 104769) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2020-01-20 |