| NPI | 1619465929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 118660) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: TX 37494) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2025-08-15 |