| NPI | 1588207195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015723) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.005339) |
| Enumeration Date | 2019-10-26 |
| Last Update Date | 2020-12-28 |