| NPI | 1194228726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2017029523) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010252) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |