NPI | 1396390969 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 115415) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16639) |
Enumeration Date | 2019-08-09 |
Last Update Date | 2019-08-09 |