| NPI | 1265663553 |
|---|---|
| Former Name | DARRAGH ELIZABETA-LYNN FERTITTA-BOUTIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111932) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7432) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2018-05-11 |