| NPI | 1881300093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 116923) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19641) |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2025-06-03 |