| NPI | 1558500785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT 1286) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-788) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 111098) | |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2016-03-30 |