| NPI | 1003667197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002849) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 121047) |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2025-06-19 |