NPI | 1205373339 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 122822) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2017-01-26 |
Last Update Date | 2024-11-19 |