| NPI | 1063970622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ slp11913) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.004940) |
| Enumeration Date | 2019-03-03 |
| Last Update Date | 2019-07-17 |