NPI | 1710535125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 34272) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 34272) |
Enumeration Date | 2019-08-28 |
Last Update Date | 2023-11-27 |