| NPI | 1871097170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 115368) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 5361) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2019-04-04 |