| NPI | 1164862603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2014032460) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.011784) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2015-09-23 |