| NPI | 1366810368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005294) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.003781) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2016-09-20 |