NPI | 1811173552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010903) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 3372) |
Enumeration Date | 2008-01-11 |
Last Update Date | 2011-12-28 |