| NPI | 1124312681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 101300) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60218517) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2022-10-21 |