| NPI | 1164906970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146014764) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242005015) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2021-01-07 |