| NPI | 1760045454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13410) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0007101) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 124771) | |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2026-08-24 |