NPI | 1508115213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011915) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242002471) |
Enumeration Date | 2012-09-10 |
Last Update Date | 2020-01-27 |