| NPI | 1700467438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 33479) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 116670) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2022-10-18 |