NPI | 1194265124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146015176) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP001072) |
Enumeration Date | 2017-02-23 |
Last Update Date | 2021-08-02 |