| NPI | 1326879834 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 105514) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 37644) | 
| 235Z00000X Speech-Language Pathologist, (Licence: GA 013124) | |
| Enumeration Date | 2024-08-08 | 
| Last Update Date | 2024-09-04 |