| NPI | 1225639628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.016773) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 5093) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2023-10-09 |