NPI | 1558843003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.014921) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242004840) |
Enumeration Date | 2018-08-31 |
Last Update Date | 2023-05-19 |