| NPI | 1316717564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204001318) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242007633) |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-09-24 |