| NPI | 1104303718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP14246) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 119155) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2023-10-30 |