| NPI | 1164458568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21346) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 100951) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2022-06-28 |