NPI | 1396033809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 113131) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 11476) |
Enumeration Date | 2011-07-18 |
Last Update Date | 2022-06-01 |