NPI | 1962923821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 118946) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16192) |
Enumeration Date | 2017-06-30 |
Last Update Date | 2021-12-15 |