| NPI | 1558836809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 117879) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP14065124) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2021-08-06 |