| NPI | 1619492675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114656) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 27247) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 11747) | |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2018-06-29 |