| NPI | 1972015964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 105364) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2022-11-01 |