| NPI | 1811201106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006477) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 105149) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2020-09-03 |