| NPI | 1568879310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 122203) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL70048061) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2026-01-20 |