NPI | 1578859948 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011117) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242001904) |
Enumeration Date | 2011-06-23 |
Last Update Date | 2012-06-15 |