| NPI | 1235605122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17972) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010967) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2022-05-31 |