NPI | 1689065054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1968) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011796) |
Enumeration Date | 2015-02-06 |
Last Update Date | 2020-10-12 |