| NPI | 1306212105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003627) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011862) |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2025-04-08 |