NPI | 1326879834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 105514) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 37644) |
235Z00000X Speech-Language Pathologist, (Licence: GA 013124) | |
Enumeration Date | 2024-08-08 |
Last Update Date | 2024-09-04 |