NPI | 1619027281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 242000299) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9496) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2008-06-09 |