NPI | 1669046868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 14323597) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 115646) |
Enumeration Date | 2021-05-13 |
Last Update Date | 2021-05-13 |