NPI | 1790332781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114813) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012909) |
235Z00000X Speech-Language Pathologist, (Licence: TN 7151) | |
Enumeration Date | 2019-08-23 |
Last Update Date | 2025-09-08 |