NPI | 1144384272 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 14540) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 37) |
Enumeration Date | 2006-12-21 |
Last Update Date | 2007-07-08 |