| NPI | 1902201247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT slp-sp-lic-9248) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 112134) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2025-03-27 |