| NPI | 1992283568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2022037819) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146014301) |
| Enumeration Date | 2018-08-05 |
| Last Update Date | 2023-09-14 |