| NPI | 1285394304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 40754) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 124535) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202012112) | |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2026-03-06 |