| NPI | 1700476553 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: TX 123247)  | 
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 41755)  | 
| Enumeration Date | 2021-01-25 | 
| Last Update Date | 2025-08-20 |