| NPI | 1679162895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.016282) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.005843) |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2022-04-13 |