| NPI | 1902282890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 4434-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.012764) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2018-08-28 |