| NPI | 1033646070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 120800) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014701) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2023-06-02 |