| NPI | 1285357533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 120381) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL sa22739) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2024-10-31 |