| NPI | 1962983726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 119115) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005684A) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2022-02-10 |