| NPI | 1184279440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 718) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 117131) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2021-04-13 |