| NPI | 1922296318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 107418) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET001222) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2024-10-23 |