| NPI | 1164702312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.011452) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242001960) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2021-09-14 |