| NPI | 1346485299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 106097) |
| Additional Taxonomies | 235500000X Specialist/Technologist (Licence: MS S3299) |
| Enumeration Date | 2008-12-06 |
| Last Update Date | 2022-05-20 |