| NPI | 1841060068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 121743) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 4711) |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |