NPI | 1881006864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011909) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12792) |
Enumeration Date | 2014-05-27 |
Last Update Date | 2017-03-31 |