NPI | 1518385939 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004510) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015598) |
Enumeration Date | 2014-04-02 |
Last Update Date | 2025-10-06 |