| NPI | 1720770019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 13405468-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 117471) |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-05-24 |