NPI | 1801228416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 109789) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2073) |
235Z00000X Speech-Language Pathologist, (Licence: TX 108103) | |
Enumeration Date | 2013-08-06 |
Last Update Date | 2022-02-01 |