| NPI | 1659437366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004737) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 16430) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2026-01-07 |