| NPI | 1295133551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 7078) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242003390) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2016-01-11 |