| NPI | 1306327457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77207) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 112352) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2019-08-05 |