NPI | 1811295728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 22166) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146009919) |
Enumeration Date | 2011-03-02 |
Last Update Date | 2016-11-28 |