| NPI | 1700664299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146017783) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 033588) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2025-01-28 |