| NPI | 1912558131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146015503) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242005582) |
| Enumeration Date | 2019-09-28 |
| Last Update Date | 2020-09-15 |