| NPI | 1629155049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005849) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 106043) |
| 235Z00000X Speech-Language Pathologist, (Licence: OK 5460) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-04-03 |