| NPI | 1821320490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: UT 8081276-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AZ #TSLP6599) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2011-11-10 |