| NPI | 1932500618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 113863) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP2021) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2023-04-21 |