| NPI | 1891193090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 029793) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 109686) |
| Enumeration Date | 2014-12-21 |
| Last Update Date | 2020-06-03 |