| NPI | 1790381309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 14289288) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 119185) |
| 235Z00000X Speech-Language Pathologist, (Licence: OK 5477) | |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2022-01-31 |