NPI | 1205431079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 119899) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO PSLP.0000702) |
Enumeration Date | 2020-12-01 |
Last Update Date | 2025-08-13 |