| NPI | 1306900915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146007836) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 5559771) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2016-08-25 |