NPI | 1285993972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011286) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2011022965) |
Enumeration Date | 2012-05-15 |
Last Update Date | 2016-11-28 |