| NPI | 1205287034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 6501) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 7637) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2025-03-20 |