| NPI | 1982494944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 124607) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.008194) |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-11-20 |