| NPI | 1245710201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 106654) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 14061443) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2022-09-02 |