NPI | 1215470687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.018334) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 027403-1) |
235Z00000X Speech-Language Pathologist, (Licence: MA 8790) | |
Enumeration Date | 2016-12-02 |
Last Update Date | 2025-05-13 |