| NPI | 1518639319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0006449) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 116095) |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2025-09-12 |