NPI | 1396876090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146008780) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.008780) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2021-05-25 |