NPI | 1154767556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.012017) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 12130611) |
Enumeration Date | 2013-05-13 |
Last Update Date | 2015-01-30 |