| NPI | 1548734965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 115866) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 40925) |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2024-03-01 |