| NPI | 1902097595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 100697) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202003740) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 30002329) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2024-08-26 |