| NPI | 1205254117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 22619) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012051) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2024-06-28 |