| NPI | 1194406264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 121115) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010259) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-08-03 |