| NPI | 1396367744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015765) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 77365-SP-SL) |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2021-05-18 |