| NPI | 1639427768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 022363) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 107425) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2013-01-03 |