| NPI | 1164035184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 41555) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 41555) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-31 |