| NPI | 1013474576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 35999) |
| Additional Taxonomies | 364SP0811X Clinical Nurse Specialist, Psych/Mental Health, Chronically Ill (Licence: TX 35999) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |