| NPI | 1619340890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IL 242003548) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: IA 079949) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |