NPI | 1194504118 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 4706531) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.007376) |
Enumeration Date | 2023-09-28 |
Last Update Date | 2025-06-12 |