| NPI | 1285144626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 113099) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202012228) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2025-11-21 |