| NPI | 1700279569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.012547) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 19031) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |