| NPI | 1104492164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008365) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.016405) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2024-06-14 |