| NPI | 1407372907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 143.013617) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2016024372) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |