| NPI | 1679195333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77456) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 110320) |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2024-03-16 |