| NPI | 1962884650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015875) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2021017937) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 110242) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2024-08-05 |