| NPI | 1578231965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 116856) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.01446) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2022-10-07 |