NPI | 1457672644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146009236) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009957) |
Enumeration Date | 2010-06-22 |
Last Update Date | 2018-01-15 |