NPI | 1447900543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114759) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 14261923) |
Enumeration Date | 2022-03-24 |
Last Update Date | 2022-06-17 |