NPI | 1487875621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146008200) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7288) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2007-10-26 |