| NPI | 1790100675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 109897) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 108794) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2022-11-15 |