NPI | 1013222074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010074) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2007024366) |
Enumeration Date | 2010-08-15 |
Last Update Date | 2010-08-15 |