| NPI | 1235522400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 10219381-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07028) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2024-09-03 |