| NPI | 1619650173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010438) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 121331) |
| 235Z00000X Speech-Language Pathologist, (Licence: KS 5305) | |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-08-10 |