NPI | 1184242323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 121238) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 14533) |
Enumeration Date | 2020-07-13 |
Last Update Date | 2024-12-02 |