NPI | 1356008973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 14361433) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2021-11-18 |
Last Update Date | 2025-04-29 |