| NPI | 1407040629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 14186985-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 108908) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2025-02-11 |