| NPI | 1760862833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146013669) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 4112-154) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2019-08-08 |