| NPI | 1760202519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114145) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 9909) |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |