| NPI | 1134871429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 120128) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 005706) |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-10-18 |