NPI | 1639505993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1234) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 111513) |
Enumeration Date | 2013-09-18 |
Last Update Date | 2022-07-21 |