| NPI | 1497005425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012833) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 022538) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2020-07-07 |