| NPI | 1609264365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111575) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 29742) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 110237) | |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2026-05-15 |