| NPI | 1285369116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 122582) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI SPP-4) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2025-03-20 |