NPI | 1124451877 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012400) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242002858) |
Enumeration Date | 2013-08-16 |
Last Update Date | 2020-05-07 |