| NPI | 1972350221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID 3177556) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 119710) |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2025-03-21 |