| NPI | 1730475773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 021514-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 106614) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2015-09-18 |