| NPI | 1366750994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 109423) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 6120) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2022-05-09 |