NPI | 1659600229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 021664) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012325) |
235Z00000X Speech-Language Pathologist, (Licence: MO 2009015697) | |
Enumeration Date | 2009-12-10 |
Last Update Date | 2015-01-19 |