| NPI | 1679243703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.016328) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.006152) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2022-02-14 |