NPI | 1902410806 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 1463013629) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 082389) |
Enumeration Date | 2020-09-08 |
Last Update Date | 2024-02-29 |