| NPI | 1598491292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 9413) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 119924) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2023-10-05 |