NPI | 1902129026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010589) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242001484) |
Enumeration Date | 2010-03-03 |
Last Update Date | 2021-07-13 |