NPI | 1740846294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO .0003527) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 116857) |
235Z00000X Speech-Language Pathologist (Licence: CO 14302323) | |
Enumeration Date | 2019-05-09 |
Last Update Date | 2021-03-04 |