| NPI | 1235788340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015376) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.005393) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2020-09-03 |