| NPI | 1275197048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 11987) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: AZ 11312) |
| 235Z00000X Speech-Language Pathologist (Licence: AZ SLP11312) | |
| Enumeration Date | 2019-04-27 |
| Last Update Date | 2022-11-08 |