NPI | 1972844678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 113188) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10174) |
Enumeration Date | 2013-03-06 |
Last Update Date | 2017-03-02 |