NPI | 1245710201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 106654) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 14061443) |
Enumeration Date | 2018-08-20 |
Last Update Date | 2022-09-02 |