| NPI | 1285351825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP100485) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242006891) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2023-10-17 |