| NPI | 1972904712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 3268) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.018274) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2025-10-31 |