| NPI | 1164294187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 036124) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 119855) |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2026-02-10 |