NPI | 1245978097 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146017528) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14264) |
Enumeration Date | 2022-05-23 |
Last Update Date | 2024-06-03 |