| NPI | 1407368400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 119065) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2017030476) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2022-09-28 |