| NPI | 1093691826 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.008240) |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-15 |