| NPI | 1467956094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 12856) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.013997) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-04-02 |