| NPI | 1124863428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.018526) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 122417) |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2025-10-24 |