| NPI | 1700335320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 5399) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242004232) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2021-12-21 |