| NPI | 1487300257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 2842) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 112931) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2026-07-17 |