| NPI | 1053709287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9204) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.003741) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |