| NPI | 1679751721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 121565) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7897) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2024-03-25 |