NPI | 1265678502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 05036) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146009176) |
235Z00000X Speech-Language Pathologist, (Licence: IN 22004686A) | |
Enumeration Date | 2008-12-16 |
Last Update Date | 2018-08-03 |