| NPI | 1619536042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 119372) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP11236) | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2023-08-23 |