NPI | 1902120678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 103803) |
Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: TX 70661) |
Enumeration Date | 2010-03-24 |
Last Update Date | 2023-06-13 |