NPI | 1669144358 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0005987) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 115009) |
Enumeration Date | 2021-09-30 |
Last Update Date | 2024-07-24 |