| NPI | 1629426853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 4732) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 102602) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2024-04-01 |