NPI | 1306252424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012990) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242003147) |
Enumeration Date | 2014-07-09 |
Last Update Date | 2022-04-11 |