| NPI | 1275096414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 11820768-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 247962) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2021-03-19 |