NPI | 1962578203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07923) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146007518) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2016-06-15 |