| NPI | 1689141681 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 117848) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 12374) | 
| Enumeration Date | 2018-10-28 | 
| Last Update Date | 2022-05-18 |