| NPI | 1750667044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 113340) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 4829) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2022-05-24 |