| NPI | 1699340174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 14360811) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 14360811) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-05-26 |