NPI | 1851714745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 110740) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID TSLP-2512) |
Enumeration Date | 2014-01-28 |
Last Update Date | 2018-08-23 |