| NPI | 1114690922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 005005) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.006493) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2023-11-30 |