| NPI | 1396392114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP34122) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 120981) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2024-10-03 |