NPI | 1649879024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 117494) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 8418) |
Enumeration Date | 2020-10-18 |
Last Update Date | 2025-10-06 |