| NPI | 1235577057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111958) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0004558) |
| 235Z00000X Speech-Language Pathologist, (Licence: PR 2232) | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2022-06-14 |