NPI | 1003999129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 17810) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2006-10-23 |
Last Update Date | 2012-01-12 |