NPI | 1578103248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 118509) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 6218) |
Enumeration Date | 2020-01-10 |
Last Update Date | 2022-11-29 |