| NPI | 1427418763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114340) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 9543867-4102) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2019-11-04 |