NPI | 1447380993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 104497) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 10655) |
235Z00000X Speech-Language Pathologist, (Licence: UT 942743314102) | |
Enumeration Date | 2007-03-06 |
Last Update Date | 2021-05-27 |