| NPI | 1619607975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146016922) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.006359) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2023-02-15 |