| NPI | 1902652415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA22522) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146016913) |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-06-07 |