NPI | 1952176760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.018029) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 119902) |
Enumeration Date | 2023-11-21 |
Last Update Date | 2025-10-07 |