| NPI | 1710075791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 113778) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.008971) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2018-09-19 |