| NPI | 1326573791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 201009) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 112409) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2020-10-29 |