NPI | 1548741044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.014866) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.004927) |
Enumeration Date | 2018-08-23 |
Last Update Date | 2021-06-30 |