| NPI | 1205990892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 105221) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: NM 3954) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2022-10-19 |