| NPI | 1457784514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 9603) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011816) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2020-01-24 |