| NPI | 1003289984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 112100) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2024-04-03 |