NPI | 1598059107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: GA SLP009513) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 106007) |
235Z00000X Speech-Language Pathologist (Licence: FL SA17422) | |
Enumeration Date | 2011-06-01 |
Last Update Date | 2024-06-29 |