| NPI | 1922486547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21248) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 107389) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2026-04-30 |