NPI | 1952532699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 113254) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 2019) |
Enumeration Date | 2009-07-29 |
Last Update Date | 2023-09-06 |