| NPI | 1659043040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 121769) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AR 201599) |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2023-09-05 |