| NPI | 1861112724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111817) |
| Additional Taxonomies | 246Q00000X Spec/Tech, Pathology (Licence: TX 111817) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2026-03-02 |