| NPI | 1124476957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012948) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2016007624) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2022-11-04 |