| NPI | 1265865893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 251277) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.002794) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2023-09-28 |