NPI | 1134430101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010221) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010221) |
Enumeration Date | 2010-06-24 |
Last Update Date | 2019-10-30 |