| NPI | 1750722740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 083500) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011609) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2024-05-21 |