| NPI | 1609630573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003796) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 121988) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2025-08-07 |