NPI | 1023026259 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12654) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 101195) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2025-04-22 |