| NPI | 1265986749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2021037893) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 109045) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 31552) | |
| 235Z00000X Speech-Language Pathologist, (Licence: KS 5031) | |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2024-03-18 |