| NPI | 1790332781 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: TX 114813)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: GA SLP012909)  | 
| 235Z00000X Speech-Language Pathologist,   (Licence: TN 7151)  | |
| Enumeration Date | 2019-08-23 | 
| Last Update Date | 2025-09-08 |