| NPI | 1871864389 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: IL 146011929)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: NY 021495-1)  | 
| Enumeration Date | 2012-01-16 | 
| Last Update Date | 2024-10-15 |