| NPI | 1780281105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 115255) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2870) |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |