NPI | 1750546768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010174) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3119-154) |
Enumeration Date | 2008-07-20 |
Last Update Date | 2012-04-19 |