| NPI | 1508449067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 30397) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015522) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-05-03 |