| NPI | 1679203129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: LA 9843) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 119742) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2025-07-29 |