| NPI | 1942795810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 120063) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 114555) |
| 235Z00000X Speech-Language Pathologist (Licence: OK 5234) | |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2025-08-04 |