| NPI | 1679963052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IL 146014983) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 024351-1) |
| 235Z00000X Speech-Language Pathologist (Licence: CA 13202) | |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2019-12-01 |