| NPI | 1932751476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 122497) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09115) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2025-01-29 |