| NPI | 1669939419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 11660935-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 111437) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2020-09-18 |