| NPI | 1356734537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 9101737-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 9101737-4104) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-04-23 |