NPI | 1326454109 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108646) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 023540-1) |
Enumeration Date | 2014-07-01 |
Last Update Date | 2014-07-01 |