| NPI | 1417397654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 7041208-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP8362) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2026-04-07 |