| NPI | 1568028132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS 4561) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 112655) |
| Enumeration Date | 2019-05-19 |
| Last Update Date | 2023-02-08 |