| NPI | 1932550712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 12800) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 113566) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7608) | |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2018-02-21 |