NPI | 1578716296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 105241) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 7545-1) |
Enumeration Date | 2008-10-25 |
Last Update Date | 2018-08-31 |