| NPI | 1528778826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 124232) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 272606) |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2026-08-11 |