NPI | 1083065551 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146017381) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1960) |
Enumeration Date | 2016-06-27 |
Last Update Date | 2023-11-14 |