NPI | 1093118846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005421) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242003294) |
Enumeration Date | 2014-10-07 |
Last Update Date | 2024-05-06 |