| NPI | 1689727174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0001004) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 118992) |
| 235Z00000X Speech-Language Pathologist, (Licence: NM 2026) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2024-05-08 |