| NPI | 1255623302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 14398265) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 120019) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2023-10-11 |