| NPI | 1063077741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 122519) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2024-08-21 |