| NPI | 1720449507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2015018379) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146013546) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-11-29 |