NPI | 1871864389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011929) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 021495-1) |
Enumeration Date | 2012-01-16 |
Last Update Date | 2024-10-15 |