| NPI | 1972724656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 101710) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SA 9612) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2022-06-03 |