| NPI | 1629332861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146004487) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 109942) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |