| NPI | 1003328006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 4477) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 113658) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010105) | |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2021-11-24 |