NPI | 1235577057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111958) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0004558) |
235Z00000X Speech-Language Pathologist, (Licence: PR 2232) | |
Enumeration Date | 2013-06-14 |
Last Update Date | 2022-06-14 |