| NPI | 1417227018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011222) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 9790) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2014-04-10 |