NPI | 1316335698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07180) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010675) |
Enumeration Date | 2015-01-08 |
Last Update Date | 2015-01-08 |