| NPI | 1578718946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 117638) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 016784) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2022-10-14 |