| NPI | 1093223679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 28590) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 112697) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2022-11-18 |