NPI | 1508356148 |
---|---|
Former Name | BRIDGET TOBIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 121964) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 26970) |
Enumeration Date | 2018-05-17 |
Last Update Date | 2024-10-23 |