| NPI | 1568942928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 116847) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: TX 39287) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2022-08-15 |