NPI | 1437506037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146014022) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 026675) |
Enumeration Date | 2016-05-24 |
Last Update Date | 2019-12-01 |