| NPI | 1508175910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19180) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242001495) |
| Enumeration Date | 2010-10-02 |
| Last Update Date | 2023-03-09 |