| NPI | 1366122996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP013292) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 121316) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2025-04-18 |