| NPI | 1598278863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 102853) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 24510164) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2025-08-06 |