| NPI | 1558148213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114883) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 2476) |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2023-09-14 |