| NPI | 1407150717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0002771) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 105150) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2022-05-24 |