NPI | 1114951274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146-001472) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: IL BM43941201P) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2019-12-03 |