NPI | 1215382205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.012785) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 16083) |
Enumeration Date | 2016-04-27 |
Last Update Date | 2024-03-11 |