| NPI | 1326471061 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI 1188) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146-089255) | 
| Enumeration Date | 2013-08-16 | 
| Last Update Date | 2023-08-14 |