| NPI | 1629612197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114686) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 37025) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2026-05-18 |