| NPI | 1881969673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 17280) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 103308) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2026-05-06 |