| NPI | 1437634508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT 8059) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 106914) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2023-07-21 |