| NPI | 1679705933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WI 3873) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 102807) |
| 235Z00000X Speech-Language Pathologist (Licence: MN 8866) | |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2015-09-11 |