NPI | 1053746073 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 110076) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 109197) |
Enumeration Date | 2013-09-10 |
Last Update Date | 2014-07-07 |