| NPI | 1801235890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6194) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146005005) |
| Enumeration Date | 2013-06-23 |
| Last Update Date | 2018-03-29 |