| NPI | 1962923821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 118946) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SA16192) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2021-12-15 |