| NPI | 1467656199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2007016503) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.011918) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2024-07-02 |