| NPI | 1114262128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN SP0000003876) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011057) |
| Enumeration Date | 2012-12-02 |
| Last Update Date | 2015-03-11 |