| NPI | 1275811176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP7520) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 106903) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2025-07-22 |