| NPI | 1083999494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.011216) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.001910) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2020-06-19 |