NPI | 1033135728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111109) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146007461) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2015-06-10 |