| NPI | 1720123367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108679) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242000131) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2023-05-23 |