| NPI | 1821321746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111083) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 017512-1) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2021-12-16 |