| NPI | 1174315360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20684) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 121612) |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-21 |