NPI | 1316218845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA14611) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: IL 146.002169) |
Enumeration Date | 2012-01-13 |
Last Update Date | 2016-07-15 |