| NPI | 1962833053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 10798605-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-TMP-2879) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2020-11-18 |