| NPI | 1215167200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: TX 34984) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 34984) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2019-01-17 |