NPI | 1740735307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 119393) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 11382) |
Enumeration Date | 2016-08-23 |
Last Update Date | 2025-03-13 |