| NPI | 1104911593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 01448) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146006166) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |