NPI | 1518276724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 105797) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 34906) |
Enumeration Date | 2010-10-05 |
Last Update Date | 2022-02-22 |