| NPI | 1710590526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 121175) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: TX RBT-19-86197) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2025-02-07 |