| NPI | 1962536862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 113337) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MA 7047) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2024-01-25 |