NPI | 1063847309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012458) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242002888) |
Enumeration Date | 2013-09-05 |
Last Update Date | 2014-11-10 |