NPI | 1558491779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14468) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146008590) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2016-04-28 |