| NPI | 1609292358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 002424) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.011943) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2016-01-13 |