NPI | 1316362429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010110) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: IL 796765) |
Enumeration Date | 2014-02-26 |
Last Update Date | 2017-05-11 |