NPI | 1003160128 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: LA 8650) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 110143) |
Enumeration Date | 2012-10-29 |
Last Update Date | 2020-08-17 |