NPI | 1619318433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 3717-154) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010138) |
Enumeration Date | 2013-07-09 |
Last Update Date | 2021-01-12 |