| NPI | 1275191264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: LA 7109) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 120459) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2022-10-28 |