| NPI | 1598173460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111204) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 21954) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2022-06-01 |