| NPI | 1578173639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015289) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 115300) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |