NPI | 1811449762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 119838) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2016-10-26 |
Last Update Date | 2023-05-09 |