| NPI | 1730562240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 10448541-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AK 112224) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2019-11-22 |