| NPI | 1497068852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 242001587) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0001366) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2017-01-19 |