NPI | 1700908837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108180) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8827) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2013-03-25 |