NPI | 1497049456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 101259) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002800) |
Enumeration Date | 2011-06-07 |
Last Update Date | 2025-02-03 |