| NPI | 1316521909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 121949) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.014515) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2024-04-16 |