| NPI | 1215163290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2005023175) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146004725) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2020-04-01 |