| NPI | 1720679665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101007844) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015396) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2025-01-20 |