| NPI | 1578289617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 12434169-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 14358938) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2024-06-25 |