NPI | 1417405622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.013843) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242004050) |
Enumeration Date | 2016-09-15 |
Last Update Date | 2021-12-01 |