| NPI | 1497493415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 119209) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 40979) |
| 235Z00000X Speech-Language Pathologist, (Licence: MS S-5325) | |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2026-06-11 |