| NPI | 1639586282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.012273) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 279744) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2024-01-04 |