| NPI | 1104367960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.013354) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005220) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |