NPI | 1750689691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001812) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 104593) |
Enumeration Date | 2011-03-01 |
Last Update Date | 2021-06-04 |