| NPI | 1649645144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16439) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 108233) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2019-10-14 |