NPI | 1285025692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13686) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 117669) |
235Z00000X Speech-Language Pathologist, (Licence: CA 30858) | |
Enumeration Date | 2015-02-07 |
Last Update Date | 2024-07-29 |