| NPI | 1437603412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 17606) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP13661) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2024-04-11 |