| NPI | 1578909669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 109427) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 6684) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2022-07-21 |