| NPI | 1073849188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IA 080846) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: IL 146-009771) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2016-09-13 |