NPI | 1124237599 |
---|---|
Former Name | KARA A EIDELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004796) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.007137) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2008-12-15 |