NPI | 1285358838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 119578) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 30196) |
Enumeration Date | 2022-09-28 |
Last Update Date | 2022-09-28 |