NPI | 1851989578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 118646) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 10743) |
Enumeration Date | 2021-01-07 |
Last Update Date | 2024-07-17 |