NPI | 1225214901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.004920) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7263) |
Enumeration Date | 2008-01-13 |
Last Update Date | 2009-07-08 |