| NPI | 1255041315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 9545) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 116047) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2024-08-14 |