| NPI | 1508236902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.013586) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.003800) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2016-12-29 |