| NPI | 1720638729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009284) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 100980) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |