| NPI | 1790197861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2016017200) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.007062) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2025-08-19 |