NPI | 1467941021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP11708) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146013994) |
Enumeration Date | 2018-05-08 |
Last Update Date | 2024-02-14 |