NPI | 1669772372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146005610) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005153A) |
Enumeration Date | 2010-10-27 |
Last Update Date | 2010-10-27 |