NPI | 1558145888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 35652) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 119626) |
Enumeration Date | 2023-08-18 |
Last Update Date | 2023-08-18 |