NPI | 1326381781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.016699) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 19099) |
Enumeration Date | 2013-04-03 |
Last Update Date | 2023-04-06 |