| NPI | 1922406586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 276509) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 110889) |
| 235Z00000X Speech-Language Pathologist, (Licence: KS 4683) | |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2023-07-19 |