| NPI | 1598912651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2012040944) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.009550) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2016-01-13 |