| NPI | 1417515818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO .0004268) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011087) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2022-02-14 |