| NPI | 1073264180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 12683234-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM CF7546) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-08-03 |