NPI | 1780099762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP13592) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 109913) |
Enumeration Date | 2014-06-27 |
Last Update Date | 2022-07-13 |