| NPI | 1366925794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 123311) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 6589) |
| 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004131) | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2026-07-23 |