| NPI | 1366800385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 107893) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0002020) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 23443) | |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2022-01-03 |