NPI | 1508422247 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146017429) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242007106) |
Enumeration Date | 2019-05-17 |
Last Update Date | 2024-02-29 |