NPI | 1134369309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 120400) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C-4489) |
Enumeration Date | 2009-03-02 |
Last Update Date | 2023-01-17 |