NPI | 1528435997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146-012907) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.012907) |
Enumeration Date | 2015-09-01 |
Last Update Date | 2018-03-17 |