| NPI | 1871965707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 106022) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012251) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2022-10-27 |