| NPI | 1841503489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.013993) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 105975) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2020-06-10 |