| NPI | 1558588053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 0384281) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146-009406) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2022-04-04 |