| NPI | 1609470657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MO 2020000893) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 116490) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-11-30 |