NPI | 1083099550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146013286) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242003567) |
Enumeration Date | 2015-07-27 |
Last Update Date | 2021-01-22 |