| NPI | 1194171140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009492) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146013119) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2020-07-24 |