| NPI | 1568219269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 9154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 120858) |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2025-06-18 |