NPI | 1629426853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: KS 4732) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 102602) |
Enumeration Date | 2016-05-27 |
Last Update Date | 2024-04-01 |