| NPI | 1871105056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP12889) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242006006) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2021-08-10 |