| NPI | 1184077737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146013196) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 5266-154) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2021-08-09 |