| NPI | 1457870412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2016021120) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.013745) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2019-08-07 |