| NPI | 1346898012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77581) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 113993) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2020-06-04 |