| NPI | 1972260438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 117049) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 8474) |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2021-11-19 |