NPI | 1396960530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 100173) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 15530) |
Enumeration Date | 2007-04-14 |
Last Update Date | 2007-07-08 |