| NPI | 1477095602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 4835-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242004283) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2021-11-16 |