| NPI | 1134290935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 2978154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.000217) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-09-18 |