| NPI | 1528790763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 8286) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 118714) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2023-09-14 |