| NPI | 1154745925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 36915) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 108925) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2026-05-14 |