NPI | 1417432048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 14302998) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 14032998) |
Enumeration Date | 2018-09-28 |
Last Update Date | 2022-12-14 |