| NPI | 1821596032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114079) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2019029526) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2022-08-09 |