| NPI | 1205322849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 10459047-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2337) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-07-06 |