| NPI | 1578042412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO 0003803) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 114885) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2021-01-27 |