| NPI | 1750043675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 5808) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 118108) |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2025-07-15 |