| NPI | 1235386996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 104830) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: IL 146.009485) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2020-03-23 |