| NPI | 1215405295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 101169) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 01066222) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |