NPI | 1467904201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15264) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146013485) |
Enumeration Date | 2016-10-27 |
Last Update Date | 2018-01-19 |