NPI | 1477215986 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.017453) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP13468) |
Enumeration Date | 2021-10-12 |
Last Update Date | 2024-02-15 |