| NPI | 1477029270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015218) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2016033299) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2025-09-17 |