NPI | 1801066279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.009401) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2010014294) |
Enumeration Date | 2008-03-03 |
Last Update Date | 2010-12-28 |