NPI | 1972724656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 101710) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9612) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2022-06-03 |