| NPI | 1306274618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146013836) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 46002292A) |
| 235Z00000X Speech-Language Pathologist, (Licence: KY 4292) | |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2018-11-25 |