| NPI | 1568107993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 33641) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 122187) |
| 235Z00000X Speech-Language Pathologist (Licence: GA SLP013449) | |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2025-07-31 |