NPI | 1396992384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.011460) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP. 9402) |
Enumeration Date | 2008-08-21 |
Last Update Date | 2013-01-29 |