NPI | 1972541233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 102623) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146004057) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2014-11-19 |