| NPI | 1902571896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 9386) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 116945) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2023-10-04 |