| NPI | 1215566039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21655) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30001312) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 120484) | |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2023-08-11 |