NPI | 1275191264 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 7109) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 120459) |
Enumeration Date | 2019-06-04 |
Last Update Date | 2022-10-28 |