NPI | 1841360690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.006920) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005278A) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2014-10-02 |