| NPI | 1801457569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 5184) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.005338) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2023-03-18 |