| NPI | 1023026259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12654) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 101195) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2025-04-22 |