NPI | 1720362957 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011289) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.002037) |
Enumeration Date | 2011-10-06 |
Last Update Date | 2020-10-26 |