NPI | 1811517246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 116205) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 8149) |
Enumeration Date | 2020-04-27 |
Last Update Date | 2020-04-27 |