NPI | 1508275769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.013432) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22007007A) |
2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: IL 1837011) | |
Enumeration Date | 2014-08-12 |
Last Update Date | 2023-05-15 |