| NPI | 1356980783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015788) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.005696) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2021-01-28 |