NPI | 1043446339 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.007844) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12786) |
235Z00000X Speech-Language Pathologist, (Licence: WI 5019-154) | |
Enumeration Date | 2009-06-01 |
Last Update Date | 2024-05-13 |