NPI | 1841926839 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 37805) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 119581) |
Enumeration Date | 2022-08-01 |
Last Update Date | 2024-08-13 |