| NPI | 1215035092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 259) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 101944) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-07-21 |