| NPI | 1174513881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP1492) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146-003850) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2024-02-22 |