| NPI | 1407437635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 13944809-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-5327) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2025-07-01 |