NPI | 1659663177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.006635) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 001903) |
Enumeration Date | 2011-05-03 |
Last Update Date | 2011-05-03 |