| NPI | 1376802421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108914) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 12244) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2024-03-15 |