| NPI | 1639505993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ND 1234) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 111513) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2022-07-21 |