NPI | 1184105207 |
---|---|
Other Name | ELIZABETH NOVAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146015092) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242004813) |
Enumeration Date | 2018-08-27 |
Last Update Date | 2019-12-14 |