| NPI | 1801977467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11835) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 18681) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2025-07-08 |