| NPI | 1003426404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VA 2202011674) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 116782) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2025-01-02 |