NPI | 1043605710 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 115854) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.11974) |
Enumeration Date | 2015-03-31 |
Last Update Date | 2020-12-08 |