NPI | 1548728660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 4083) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 115074) |
Enumeration Date | 2019-03-07 |
Last Update Date | 2025-02-04 |