| NPI | 1467987826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 179893) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 112739) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2021-10-12 |