| NPI | 1750650545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010927) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP8162) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2012-10-25 |