| NPI | 1255849337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 16881) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8447) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 116288) | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2021-11-03 |