| NPI | 1821767856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 120104) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 17214) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2025-06-17 |