| NPI | 1306406343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 5487) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 115714) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2022-08-17 |