| NPI | 1629157730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MI 7101000902) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: IL 242.000245) |
| 235Z00000X Speech-Language Pathologist (Licence: MI 12130013) | |
| 235Z00000X Speech-Language Pathologist (Licence: NC 8681) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2019-05-30 |