| NPI | 1265976609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 110727) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22006512A) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2020-08-25 |