NPI | 1659595346 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146007330) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-01-13 |