| NPI | 1255642591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 109434) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 020488) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2018-04-17 |