| NPI | 1043756455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 2290) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 112114) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2024-02-13 |