| NPI | 1558872002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 115381) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 4377-154) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2026-07-15 |