NPI | 1154652055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 102441) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 17536) |
Enumeration Date | 2010-01-18 |
Last Update Date | 2010-01-18 |