NPI | 1295177467 |
---|---|
Former Name | LEAH MARIE SOSA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 110299) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 109002) |
Enumeration Date | 2013-07-29 |
Last Update Date | 2017-02-15 |