| NPI | 1912610833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 8354) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.006805) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-06-27 |