NPI | 1437605946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 107228) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS 272136) |
235Z00000X Speech-Language Pathologist, (Licence: CA SP 24547) | |
Enumeration Date | 2016-08-26 |
Last Update Date | 2022-10-21 |