| NPI | 1427623867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 121234) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10114) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2025-03-04 |