| NPI | 1184252058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 112676) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 27272) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |