NPI | 1316374960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.013509) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 106871) |
Enumeration Date | 2013-09-27 |
Last Update Date | 2021-01-07 |