| NPI | 1891134300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108273) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 2092) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2021-05-18 |