| NPI | 1952043242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0006385) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 116866) |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2025-08-21 |