| NPI | 1154119329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 3118) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: TX 3118) |
| 174400000X Specialist (Licence: TX 3118) | |
| 222Q00000X Developmental Therapist (Licence: TX 3118) | |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-29 |