| NPI | 1336571363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO SLP.0001825) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: IL 146012138) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2014-08-13 |