| NPI | 1821610635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2022027918) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146018288) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2026-01-04 |