| NPI | 1588119788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 117323) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 5191) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2021-11-03 |