| NPI | 1659042588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0005349) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 108376) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2024-01-17 |