NPI | 1316521909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 121949) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.014515) |
Enumeration Date | 2021-05-10 |
Last Update Date | 2024-04-16 |