NPI | 1396213112 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146015296) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2020010529) |
235Z00000X Speech-Language Pathologist, (Licence: SC 6293) | |
Enumeration Date | 2018-11-09 |
Last Update Date | 2021-01-24 |