| NPI | 1730536103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.011511) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2013014036) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |