| NPI | 1487343588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 206918) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 118247) |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-12-20 |