| NPI | 1992366090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015429) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.005474) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2021-06-15 |