| NPI | 1487328621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 122291) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.006418) |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2025-07-11 |