| NPI | 1134953185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14472) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 119332) |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-09-24 |