| NPI | 1073174470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17974) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 123589) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2025-12-19 |