| NPI | 1255742219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI 1388) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC 324) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 105166) | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2015-01-22 |