NPI | 1255446803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146005154) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146 005154) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2015-08-17 |