| NPI | 1740634583 |
|---|---|
| Former Name | DIANA GORTYCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 116336) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41ys00817500) |
| 235Z00000X Speech-Language Pathologist, (Licence: WA 61097597) | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2021-08-17 |