NPI | 1417685363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.017102) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.006894) |
Enumeration Date | 2022-08-09 |
Last Update Date | 2023-06-26 |