NPI | 1548604937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 24879) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 4895) |
Enumeration Date | 2013-04-29 |
Last Update Date | 2013-04-29 |