NPI | 1205358900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146014009) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 15736) |
Enumeration Date | 2017-07-13 |
Last Update Date | 2025-04-01 |