| NPI | 1447905047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 117356) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 8645) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-02-14 |