| NPI | 1124671359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2018019773) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.014761) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2021-08-30 |