| NPI | 1669845228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 9921) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.003484) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2019-09-17 |