| NPI | 1104307099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-2009) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.004963) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2022-07-20 |