| NPI | 1912689316 |
|---|---|
| Former Name | STEPHANIE RENE CHUSTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 121279) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 8653) |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2025-08-12 |