| NPI | 1538996459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 123191) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S-5449) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2025-12-02 |