| NPI | 1548988082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA23870) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 117227) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2026-04-21 |