| NPI | 1609165505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 115500) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 35825) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010119) | |
| 235Z00000X Speech-Language Pathologist, (Licence: LA 8201) | |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2021-05-11 |