| NPI | 1073281507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012116) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 113696) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2022-06-19 |