| NPI | 1124773312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-5211) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 115000) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |