| NPI | 1740992254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204001085) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 119604) |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2023-03-15 |