| NPI | 1639897978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO SLP.0005364) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 119917) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2024-01-08 |