NPI | 1255506184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146008289) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI sp-991) |
Enumeration Date | 2008-04-22 |
Last Update Date | 2008-04-22 |