| NPI | 1689224131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 117112) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SI60992899) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2022-08-16 |