| NPI | 1073025748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015221) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 4569-154) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2020-03-30 |