NPI | 1578693743 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 5147) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 101659) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2024-12-16 |