| NPI | 1497376271 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 14192205-4102) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2535) | 
| Enumeration Date | 2020-05-02 | 
| Last Update Date | 2025-05-08 |