| NPI | 1285941658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 110021) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019995-1) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2019-09-19 |