NPI | 1356664924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14295) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146003592) |
Enumeration Date | 2010-03-10 |
Last Update Date | 2018-12-26 |