| NPI | 1760864722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 124161) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 4412) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2026-01-21 |