| NPI | 1598534885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 113346) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA22240) |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2024-05-13 |