| NPI | 1760930820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146013913) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.004221) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2023-09-20 |