NPI | 1134964679 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL.70023775) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 122630) |
Enumeration Date | 2024-06-26 |
Last Update Date | 2025-09-03 |