| NPI | 1710435854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 8560) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 111487) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2024-01-17 |