| NPI | 1154802155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 116553) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010216) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2020-08-11 |