| NPI | 1548708183 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111163) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 101377) | 
| Enumeration Date | 2017-02-02 | 
| Last Update Date | 2025-03-15 |