NPI | 1649720459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114347) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7885) |
Enumeration Date | 2016-10-05 |
Last Update Date | 2023-05-16 |