NPI | 1396367744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015765) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 77365-SP-SL) |
Enumeration Date | 2020-05-08 |
Last Update Date | 2021-05-18 |