| NPI | 1124395637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 117910) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 19961) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2026-03-26 |