| NPI | 1417388604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 3540) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 113210) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2024-02-09 |