| 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 |