| NPI | 1699644005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 9239) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 122549) |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-17 |