NPI | 1366122996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP013292) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 121316) |
Enumeration Date | 2023-07-19 |
Last Update Date | 2025-04-18 |