| NPI | 1811517246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 116205) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 8149) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |