| NPI | 1992551246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP15847) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 122024) |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2025-01-13 |