| NPI | 1962870378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 16923) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP7069) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2025-10-17 |