| NPI | 1386291532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10474) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 113454) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2023-02-20 |