NPI | 1063842573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA sl009266) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 2776) |
235Z00000X Speech-Language Pathologist, (Licence: TX 122913) | |
Enumeration Date | 2013-11-19 |
Last Update Date | 2024-10-08 |