NPI | 1821437518 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.002868) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6253) |
Enumeration Date | 2013-06-17 |
Last Update Date | 2013-08-22 |