| NPI | 1932891975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 122021) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S-5043) |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2024-01-08 |