| NPI | 1215426713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 114279) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: 14229599) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2020-08-05 |