NPI | 1942795810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 120063) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 114555) |
235Z00000X Speech-Language Pathologist, (Licence: OK 5234) | |
Enumeration Date | 2018-06-24 |
Last Update Date | 2025-08-04 |