NPI | 1326751785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 119030) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 27739) |
Enumeration Date | 2023-01-02 |
Last Update Date | 2023-10-23 |