| NPI | 1205268133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 4278) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 109119) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA13038) | |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2018-10-05 |