| NPI | 1346723210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 123477) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2018029939) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2025-11-07 |