NPI | 1518403377 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 107202) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0000145) |
Enumeration Date | 2017-01-17 |
Last Update Date | 2023-08-17 |