NPI | 1255041315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 9545) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 116047) |
Enumeration Date | 2022-11-30 |
Last Update Date | 2024-08-14 |